OrganizationActive
Country Club Dental Inc.
NPI 1417121880 · General Practice Dentistry · Mesa, AZ
Country Club Dental Inc. is a General Practice Dentistry organization in Mesa, AZ (NPI 1417121880).
Provider details
- NPI number
- 1417121880
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Frances Fattohi, Owner(480) 892-8185
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3050 S Country Club Dr Ste 18
Mesa, AZ 85210-8365
Phone: (480) 892-8185
Street-level locationGet directions
Mailing address
3050 S Country Club Dr Ste 18
Mesa, AZ 85210-8365
Registry dates
- Enumerated
- 2008-04-16
- Last updated
- 2008-04-16
Frequently asked questions
- What is Country Club Dental Inc.'s NPI number?
- Country Club Dental Inc.'s National Provider Identifier (NPI) is 1417121880, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Country Club Dental Inc.?
- Country Club Dental Inc. is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Country Club Dental Inc. located?
- Country Club Dental Inc.'s practice location on file with NPPES is 3050 S Country Club Dr Ste 18, Mesa, AZ 85210-8365.
- What is Country Club Dental Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Country Club Dental Inc. is (480) 892-8185.
- Who is the authorized official for Country Club Dental Inc.?
- The authorized official listed on Country Club Dental Inc.'s NPPES record is Frances Fattohi, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Country Club Dental Inc.'s NPI active?
- Yes — Country Club Dental Inc.'s NPI (1417121880) is active in the NPPES registry as of the last update on 2008-04-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.